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An 80 y/о pаtient wаs аdmitted tо the hоspital with confusion this week. Her daughter tells the hospitalist her memory may be slipping a bit, but she was oriented and independent last week, driving herself to the market. Upon admission to the hospital, she is found to have pneumonia. Currently, she is difficult to arouse and has incoherent speech. Last night, she was up all night and seemed to know her daughter but was confused regarding place and time. Her CT was normal. The most appropriate diagnosis of consideration at this time is which of the following?